Provider Demographics
NPI:1578660783
Name:PARKLAND EMERGENCY ASSOCIATES PA
Entity Type:Organization
Organization Name:PARKLAND EMERGENCY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:AMBROSE
Authorized Official - Last Name:SLESZYNSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:813-873-6445
Mailing Address - Street 1:PO BOX 18788
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-8788
Mailing Address - Country:US
Mailing Address - Phone:813-873-6445
Mailing Address - Fax:813-873-6470
Practice Address - Street 1:2901 W SWANN AVE
Practice Address - Street 2:MEMORIAL HOSPITAL EMERGENCY DEPT.
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4056
Practice Address - Country:US
Practice Address - Phone:813-873-6445
Practice Address - Fax:813-873-6440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty